CERTIFIED NURSING ASSISTANT
FIRST NAME: Jose Juan
ADDRESS: 200 Pawtucket ave Pawtucket RI 02860
EMERGENCY CONTACT: Karly Lopez
401-649-5646/ Sister
LAST NAME: Lopez
EMAIL: Jlopezrios1989@gmail.com
DOB: 03/11/1989
PHONE NUMBER: 401-347-9451
CLASS START: 02/19/2024
SESSION #: P4 Evening
REFERRAL BY: Self
DOCUMENT
ID: Complete
SSC: Complete
BCI:
COVID CARD:
UNIFORM
SHIRT: S
PANTS: XS
SHORT/TALL: Short
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